2018, Number 1
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Rev Mex Urol 2018; 78 (1)
Advanced collecting duct carcinoma in three patients
Almeida-Magaña R, Aguilar-Davidov B, Priego-Niño A, Castillo-Canto C
Language: Spanish
References: 10
Page: 67-72
PDF size: 329.57 Kb.
ABSTRACT
Background: Collecting duct carcinoma is an extremely rare type
of renal cell carcinoma and accounts for 0.5 to 3% of malignant kidney
cancers. It is an aggressive, rapidly invasive disease that progresses
to early metastasis.
Clinical case: Three cases of advanced-stage collecting duct carcinoma
confirmed through histologic study are reported herein. The
clinical characteristics of the patients were reviewed retrospectively.
All the patients had a history of smoking, were symptomatic at the time
of diagnosis, and presented with advanced-stage disease. The three
patients underwent radical nephrectomy and all died before the end of
two postoperative months: 2 of the deaths were due to postoperative
complications and 1 from early disease progression.
Conclusions: Cytoreductive nephrectomy may be a source of
morbidity and mortality. Larger case series are required to define its
role in the treatment of collecting duct carcinoma.
REFERENCES
Kuroda N, Toi M, Hiroi M, et al. Review of collecting duct carcinoma with focus on clinical and pathobiological aspects. Histol Histopathol 2002;17:1329-1334.
Karakiewicz PI, Trinh QD, Rioux-Leclercq N, et al. Collecting duct renal cell carcinoma: a matched analysis of 41 cases. Eur Urol 2007;52:1140-1146.
Méjean A, Rouprêt M, Larousserie F, et al. Is there a place for radical nephrectomy in the presence of metastatic collecting duct (Bellini) carcinoma? J Urol 2003;169:1287- 1290.
Moch H, Humphrey PA, Ulbright TM, Reuter V. WHO classification of tumours of the urinary system and male genital organs. 4a ed. Lyon: International Agency for Research on Cancer, 2016.
Staehler M, Schöppler G, Haseke N, et al. Carcinoma of the collecting ducts of Bellini of the kidney: adjuvant chemotherapy followed by multikinase inhibition with sunitinib. Clin Genitourin Cancer 2009;7:58-61.
Dason S, Allard C, Sheridan-Jonah A, et al. Management of renal collecting duct carcinoma: a systematic review and the McMaster experience. Curr Oncol 2013;20:223-232.
Oudard S, Banu E, Vieillefond A, et al. Prospective multicenter phase ii study of gemcitabine plus platinum salt for metastatic collecting duct carcinoma: results of a GETUG (Groupe d’Etudes des Tumeurs Uro-Génitales) study. J Urol 2007;177:1698-1702.
Pepek JM, Johnstone P a S and Jani AB: Influence of demographic factors on outcome of collecting duct carcinoma: a Surveillance, Epidemiology, and End Results (SEER) database analysis. Clin Genitourin Cancer 2009;7:24-27.
Patel NH, Attwood KM, Hanzly M, et al. Comparative Analysis of Smoking as a Risk Factor among Renal Cell Carcinoma Histological Subtypes. J Urol 2015;194:640-646.
Alamdari FI, Ljungberg B. Adrenal metastasis in renal cell carcinoma: A recommendation for adjustment of the TNM staging system. Scand J Urol Nephrol 2005;39:277-282.